Email: delawareprovidernetwork@amerihealthcaritas.com . AmeriHealth Caritas Pennsylvania Community HealthChoices knows the importance of establishing and maintaining relationships with area physicians, hospitals, and health care providers. 1900 Market Street, Suite 500 Philadelphia, PA 19103 Tel: 1-800-984-5933 sales@ahatpa.com Contact Us General Inquiries Questions? Effective July 1, 2018, this email address replaces the credentialing inquiry hotlines for AmeriHealth New Jersey (1-866-227-2186) and for . Find Providers Precertification Call the number on your patient's ID card or log into iEXCHANGE Provider Services 1-844-352-1706 provrelations@ahatpa.com Claims, benefits, & eligibility Log into PEAR Call the toll-free service phone number on your patient's ID card. Chiropractor. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. The AmeriHealth Family of Companies offers a range of services for individuals and employers. Through our partnership with participating providers like you, we aim to give our participants the quality health care they deserve. TAXID: AmeriHealth will not disclose any personal information to outside persons or entities unless we have written consent or unless authorized by law. 1-800-492-2385 sales@ahatpa.com Members Call the phone number on your AmeriHealth Administrators ID card. Are you a non-participating . Specialty. AmeriHealth Administrators Attn: Sales Dept. Topics include clean claims, proper codes used for accurate disbursement, remittances, and specific billing procedures and procedural changes. Opens a new window. Contact Clinical Services. (PDF) (PA Standard Application) Completing and/or submitting the AmeriHealth Caritas Pennsylvania Credentialing Application does not guarantee participation in the AmeriHealth Caritas provider network. To access information for all the required credentialing documents, in addition to those found in a provider's CAQH record or for providers who prefer a paper credentialing process please visit the Join our provider network section of this website, or contact your local Account Executive or AmeriHealth Caritas VIP Care Plus Provider . Attn: Credentialing Department. Be enrolled in the Pennsylvania Medical Assistance program (more information below). AmeriHealth Administrators: Direct all inquiries or issues directly to AmeriHealth Administrators: 1-800-841-5328 Email: provrelations@amerihealth-tpa.com : Anti-Fraud and Corporate Compliance: . We can help you capitalize on it. We have answers. Account Executives (PDF) Behavioral health resources ADHD Provider Guide (PDF) Applied Behavior Analysis (ABA) Manual Basic training 101 Box 21545 | Eagan, MN 55121 . Credentialing: Credentialing violation hotline: 215-988-1413: Credentialing Participation Request Form: Paper Credentialing. 1-800-952-3404 Vision Care Be credentialed by AmeriHealth Caritas Pennsylvania (1-800-642-3510, option 2) Sign a Participating Provider Agreement (contract) if not already contracted or if not part of an existing contracted group. Top of Page Locate your designated AmeriHealth Provider Network Services (PNS) team contact. Be credentialed by AmeriHealth Caritas Pennsylvania (1-800-642-3510, option 2) Sign a Participating Provider Agreement (contract) if not already contracted or if not part of an existing contracted group. Be enrolled in the Pennsylvania Medical Assistance program (more information below). If you prefer, you can print a barcoded cover sheet for a fax submission (found within the portal). AmeriHealth Caritas VIP Care is responsible for the credentialing and re-credentialing of its provider network. Note: If you are joining an existing AmeriHealth Caritas participating group or health care . Enroll 2023 homepage; Enroll 2022 homepage; Summary of benefits; Understanding Medicare; Who we are; Who is eligible? All providers must be credentialed and contracted before they . *Behavioral health providers must be credentialed by and contracted with Magellan Healthcare, Inc. Send your CAQH ID number to AmeriHealth Caritas Louisiana at providerenrollment@amerihealthcaritasla.com or by fax to 1-225-300-9199 Credentialing and recredentialing requirements The following types of practitioners require initial credentialing and recredentialing every 36 months: Audiologists Certified nurse midwife Chiropractors CRNPs Submit a Provider Contract Inquiry Form (PDF) To ensure your privacy, all information will be sent via a secure connection. You can learn about changes to our systems that affect you, updated referral and eligibility requirements, member cost-sharing, credentialing procedures, as well as our efforts to keep down health care costs. November 16, 2020. Access medical and pharmacy policies as well as clinical practice guidelines and information about services that require preapproval. By phone: Call Provider Recruitment at 1-833-296-2259. 2023. P.O. Submitting credentialing and recredentialing inquiries. If you have any questions, please call 1-800-642-3510, option 2. To request any of the above, the provider should contact the AmeriHealth Caritas Corporate Credentialing department at the following address: AmeriHealth Caritas. For PA we credential the following counties: 5-County Service Area Bucks Chester Delaware Montgomery Philadelphia PA Contiguous Counties Berks Lancaster Lehigh Northampton For Delaware we credential the following counties: DE Contiguous Counties New Castle DE Non-Contiguous Counties Kent Sussex NPI: (1234567890) OR. Providers should submit all initial credentialing and recredentialing inquiries to the following new email address: CredInquiries@amerihealth.com. Together we can build healthier communities. Please complete the form below and submit all clinical information via fax at 215-784-0672. customerservice@ahatpa.com Media If you are not currently contracted with AmeriHealth Caritas VIP Care and are not joining a group already in our network, please call 1-866-546-7972 to discuss obtaining the appropriate AmeriHealth Caritas VIP Care Provider Agreement. Enter your NPI or Tax ID to identify your designated network coordinator, his/her manager, and your medical director. Any ancillary provider interested in participating in our networks must complete the credentialing application below. AmeriHealth Caritas Florida is responsible for the credentialing of its provider network. To receive notification of these rights. Using our secure document submission portal, you can upload and submit a variety of documents to our Clinical Services team, or view online document statuses and history. From locally-focused health insurance plans to national-scale programs that assist those who need it the most, we exceed our customers' expectations through innovative health insurance and wellness solutions. Menu. If you have additional questions, please email our Credentialing Operations Department at CredInquiries@amerihealth.com. Mailing Address 1901 Market Street Philadelphia, PA 19103 Email Complete the Provider Email Sign-Up Form to receive email updates with the latest information, including Partners in Health Update SM. Communications AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Mail: AmeriHealth Caritas Delaware Provider Network Management 220 Continental Drive, Suite 300 Newark, DE 19713 Interactive Tools and Resources Send your CAQH ID number to AmeriHealth Caritas Louisiana at credentialing@amerihealthcaritasla.com or by fax to 1-225-300-9199 Credentialing and recredentialing requirements The following types of practitioners require initial credentialing and recredentialing every 36 months: Audiologists Certified nurse midwife Chiropractors CRNPs Call 1-866-546-7972 for information. Please consult your practice administrator. Becoming a credentialed professional provider. Insurers Upon completion of the Ancillary Provider Credentialing Form, take the following steps: Save the application form, which includes your electronic signature, on your computer. Send us your completed forms through the method most convenient for you: Fax: 1-877-759-6251. The initial credentialing criteria and standards are consistent with Florida's state-specific requirements, Accreditation Association for Ambulatory Health Care (AAAHC) requirements and National Committee for Quality Assurance (NCQA) standards. AmeriHealth Administrators . Bring your drive for excellence, teamwork, and customer commitment to Independence. If you are not registered with the Council for Affordable Quality Healthcare (CAQH) and would prefer to join the AmeriHealth Caritas Pennsylvania Community HealthChoices provider network via our paper process, complete and return the documents linked below. Skip to Main content. Certified Nurse Midwife. Audiologist. AmeriHealth requires credentialing of all physicians and all other types of health care providers who provide services to AmeriHealth members and who are permitted to practice independently under applicable state law. If you are interested in becoming a contracted behavioral health provider with AmeriHealth Caritas Louisiana, please reach out to your account executive for contracting and credentialing information. The following types of physical health practitioners require credentialing and re-credentialing: Allied Health Providers (Physical Therapists, Occupational Therapists, and Speech Therapists). Behavioral Health. customerservice@ahatpa.com Philadelphia, PA 19113. As needed for cases where education requires a charge, AmeriHealth will place the responsibility on the practitioner for the required verification from the institution to be sent directly to the Credentialing Operations processor. For employers, producers, health insurers, payers, health care providers, and plan members, we can do more than help you navigate change. This section is designed to keep you and your office staff up-to-date on claims, billing, and reimbursement information and changes. Certified Registered Nurse Practitioner. Behavioral health providers must be contracted with Magellan Healthcare, Inc., an independent company. Find an AmeriHealth Administrator Network Provider. Credentialing application. Future thinking is nicer. Join AmeriHealth Caritas Ohio today. Log in Questions? By email: ProviderRecruitmentOH@amerihealthcaritas.com. Join us, and together we can improve the lives of Ohio's Medicaid enrollees. Join us as we renew and reimagine the future of health care. To begin the credentialing process, please visit the Professional provider credentialing process page. Interested behavioral health providers can contact Magellan by selecting the "Join the Network" link or by contacting their . Learn more Forward thinking is nice. At AmeriHealth Administrators, we have the foresight, technology, and people to help. Call 1-800-642-3510, option 2 for more information. Contracting. AmeriHealth Administrators . Note: The credentialing process and contracting process can occur simultaneously. Dentist. Administrative This section gives you and your office staff information on non-clinical aspects of doing business with us. Interested behavioral health providers can contact Magellan by selecting the "Join the Network" link or by contacting their Magellan Provider Services Line at 1-800-788-4005 for assistance. Enroll 2023; Members 2023; Enroll. Fax #215-784-0672 . 200 Stevens Drive. Claims and Billing Find information about billing, electronic and paper claims submission, and other claims and billing requirements. Call 1-866-546-7972 for information.
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